Functional classification dictates type of repair in “complex” mitral insufficiency: Application to a case of a hammock mitral valve in an adult patient Rachid Zegdi, MD, PhD, Ziad Khabbaz, MD, Sylvain Chauvaud, MD, Philippe Garçon, MD, Alain Carpentier, MD, PhD, Alain Deloche, MD The Journal of Thoracic and Cardiovascular Surgery Volume 130, Issue 1, Pages 217-218 (July 2005) DOI: 10.1016/j.jtcvs.2004.11.056 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions
Figure 1 Left, Unique overdeveloped and upward displaced papillary muscle is clearly shown on preoperative transesophageal echocardiographic study. Right, Transesophageal echocardiographic control of mitral valve repair. Good leaflet coaptation was achieved with no residual leak. LA, Left atrium; PL, posterior leaflet; AR, annuloplasty ring; AL, anterior leaflet; PM, papillary muscle. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 217-218DOI: (10.1016/j.jtcvs.2004.11.056) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions
Figure 2 Schematic representation of papillary muscle detachment (interrupted line) in mitral valve repair of hammock mitral valve. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 217-218DOI: (10.1016/j.jtcvs.2004.11.056) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions